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Fertility Care

Our centre offers comprehensive fertility care, including the initial work up and treatment of both partners. We offer on site ultrasound, blood work for hormonal monitoring, ovulation induction and controlled ovarian hyperstimulation, and intrauterine insemination (sperm washing. In conjunction with the main ONE Fertility office in Burlington, we also offer in vitro fertilization (IVF) and therapeutic donor insemination.


Recurrent Pregnancy Loss Clinic

Recurrent pregnancy loss (also called recurrent miscarriage) is a challenging condition. It is diagnosed when a woman under the age of 35 has had three or more miscarriages, or a woman over the age of 35 has had two or more miscarriages. Dr. Cockwell has a special interest in recurrent pregnancy loss, having done research and presented at  provincial and national conferences on the topic. She has a wide referral base for recurrent pregnancy loss, and sees women for the work up and management of this condition.


Minimally Invasive and Advanced Operative Management

Many fertility centres are focussed solely on cycle monitoring and fertility treatment, but we feel that this does not address all potential issues that can face a couple. Dr. Cockwell has advanced training in Minimally Invasive Surgery (MIS), and is able to offer laser laparoscopy for endometriosis and adhesions through Oakville Trafalgar Memorial Hospital. She also has extended training in advanced laparoscopy for ovarian disease, removal of fibroids, tuboplasty, hysteroscopic surgery, complicated pelvic surgery and tubal reversal procedures, such that patients are often referred to us from other physicians and centres for care.


Paediatric and Adolescent Gynaecology

Gynaecological issues in the paediatric and adolescent population benefit from special care and training. Issues including delayed or early puberty, anatomical issues (imperforate or sepatate hymen, etc.), problems with periods, contraception and issues with sexuality are all sensitive topics. Work up and management in an accepting, comfortable environment is essential. Sometimes, all that is needed is reassurance that what a child or young adult is facing is normal, but if surgical management is required, Dr. Cockwell also has additional training in the area.


Early Pregnancy Care

The first trimester of pregnancy is an exciting and sometimes nerve-wracking time, especially for patients who have had issues in the past. At ONE Mississauga, we are uniquely aware and sensitive at how stressful this time can be, and we offer early pregnancy monitoring for not only our fertility patients and patients with recurrent pregnancy loss, but also other high risk patients that are referred by their family doctors or emergency departments. Routine blood work and ultrasound monitoring can provide reassurance and alleviate some of the stress of this time. We also provide routine antenatal care, including integrated prenatal screening (IPS, which is screening for Down Syndrome, spina bifida and other pregnancy issues). After the first trimester, referrals are organised for patients, based on their preference, to a midwife, obstetrician, or family doctor who provide ongoing obstetric care.


Well-Woman Care

Although fertility and pregnancy care are the primary reasons patients are referred to our centre, we also offer general well-woman care, and ongoing follow up for women with endometriosis or other complicated gynaecological conditions. In addition, women in the peri-menopausal, menopausal or post menopausal time may be referred for management of issues (irregular or heavy bleeding, hot flashes, night sweats or other menopausal symptoms etc) during this transition time. The WHI trial has left many women and their doctors confused as to the safe and appropriate use of hormonal therapy, as well as the role of alternative therapies, which we can discuss at length before deciding if and what treatment (if any) is appropriate.


Counselling

Dealing with fertility and recurrent pregnancy loss can be difficult and emotional charged, for both men and women. The stresses of infertility and its treatment are well recognised, and can affect not only outcomes, but also quality of life and relationships. Because of this, we have a trained psychiatrist on staff to help with these and other issues. In addition, we offer both individual and group therapy for individuals and couples dealing with the depression, grief and loss felt with recurrent pregnancy loss.

 
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